The following information will be provided to our members to help guide CTANW's nomination process. Please limit responses to 100 words or fewer, or 200 words or fewer on questions beginning with ***.

Name of City or County

Contact Name

First Name Last Name

Title

E-mail

Phone Number

-
Area Code Phone Number

What was the impetus for implementing a Complete Streets Philosophy in your City or County?

*** What 1 or 2 projects completed by the City or County in the last 3 years most highlight your City or County's commitment to the Complete Streets Philosophy?

*** How are accessibility needs or opportunities for improvement identified, prioritized and addressed by the City or County? (I.E. some cities use Mobility Management, citizen advisory committees, town hall meetings, or staff to help identify accessibility barriers or opportunities.)

How true is the following statement for your City or County? A person using a wheelchair or mobility device can easily travel from the Northwest corner of the city to the Southeast corner of the city using existing sidewalks or transportation.

Very Accurate

Somewhat Accurate

Not At All Accurate

That's What We're Working On

That's Not Really in Our Budget Right Now

The statement is...

Our City or County has a plan to continue to implement the Complete Streets Philosophy regardless of whether or not we receive this nomination.

True

False

Which is the closest description?

CTANW is committed to enhancing mobility and equalizing access for people of all abilities. In a few words, please tell us why you believe your City or County should receive a Complete Streets Award nomination from CTANW?

Is there anything else you would like for CTANW to consider in this request?

Thank you for submitting your Nomination Request. This information will be provided to our Members and Executive Committee as part of their decision-making process.